Combined Ezrin overexpression and E-cadherin downregulation as predictors of invasiveness, higher incidence of metastases, progression and poor prognosis in patients with cervical cancer

Faculty Medicine Year: 2018
Type of Publication: ZU Hosted Pages:
Authors:
Journal: journal of clinical and experimental oncology Egyptian Journal of Pathology Volume:
Keywords : Combined Ezrin overexpression , E-cadherin downregulation , predictors , invasiveness,    
Abstract:
Cervical cancer ranks the fourth in order among cancers in women worldwide. Management of patients with advanced and metastatic cervical cancer is not promising as such cancer could metastasize to lymph node early, which is considered a worse prognostic sign. With discovery and advancement in the field of molecular biology, the new era of research is focusing on discovering novel effective targets for therapy. Cancer spread or metastasis, which is responsible for the most serious and fatal outcome of most patients with cancer, is a multistep process and needs many interactions between malignant cells and nearby nonneoplastic areas. Ezrin, which is found at chromosome 6q25.2–q26 and is encoded by EZR gene, is an Ezrin/Radixin/Moesin family member. Ezrin is a linking protein of the cell membrane and the cytoskeleton that mediates the connection between both of them. So, Ezrin has essential role in cell division, motility, movement and other cellular functions. E-cadherin is a calcium-dependent glycoprotein that is found in normal epithelial cells. It could mediate cell adhesion, and also it maintains epithelial cells polarity and the cell structure integrity. Downregulation of E-cadherin-mediated normal cell adhesion is implicated in the process of cancer invasion and metastasis. However, the relation between the expressions of Ezrin and E-cad and relation between their expression and other clinical and pathological features in patients with cervical cancer have not been sufficiently clarified. Aim The aim of this research was to evaluate Ezrin and E-cadherin expressions in patients with cervical cancers, to correlate such expressions with pathological and clinical data of the patients and to explore their values in cancer invasiveness, metastases, progression, and prognosis of patients with cervical cancer. Patients and methods We have assessed Ezrin and E-cadherin expressions in sections from paraffin blocks of tissue obtained from 55 patients with cervical cancer, who were followed up for 3 years. Thereafter, we correlated the expressions of both markers with pathological criteria, clinical data, patients’ response to therapeutic modalities, cancer progression, relapse, and survival rates. Results High Ezrin expression and low E-cadherin expression were associated with cancer higher grade, presence of lymph node metastases, presence of lymphovascular invasion, advanced FIGO stage, (P < 0.001), presence of distant metastases (P = 0.003), more liability to malignant progression, poor therapy response, higher relapse rate (P < 0.001) and poor disease-free survival and overall survival rates (P < 0.001). Conclusion Ezrin overexpression is associated with downregulation of E-cadherin, and their corresponding expressions were related to more invasiveness liability, higher incidence of metastases, relapse after successive therapy, and poor prognosis in patients with cervical cancer
   
     
 
       

Author Related Publications

  • Heba Fekry Abdel Majid Taha, "The Value of FAK and SLUG Expression in Patients with Breast Carcinoma and Relation of Their Expression to Clinicopathological and Prognostic Parameters", Copyright © 2018, SciTechnol, 2018 More
  • Heba Fekry Abdel Majid Taha, "Prognostic and Clinic-Pathological Significances of SCF and COX-2 Expression in Inflammatory and Malignant Prostatic Lesions", springer, 2018 More
  • Heba Fekry Abdel Majid Taha, "Concordance between ER, PR, HER-2 neu Receptors Before and after Neoadjuvant Chemotherapy in Locally Advanced Breast Cancer", Hellenic Society of Medical Oncology., 2020 More
  • Heba Fekry Abdel Majid Taha, "Clinical, pathological and prognostic implications of USP22, SIRT1 and Ecadherin expression in papillary thyroid cancer (PTC) and adjacent non-neoplastic tissue", BMC,Surgical and Experimental Pathology, 2019 More
  • Heba Fekry Abdel Majid Taha, "SPOP, ZEB-1 and E-cadherin expression in clear cell renal cell carcinoma (cc-RCC): Clinicopathological and prognostic significance", Elsevier,science direct, 2018 More

Department Related Publications

  • Rasha Mohamed Mostafa Hagag, "Impact of Prognostic Nutritional Index and Systemic Immune-Inflammation Index on the Clinical Outcome of Patients with Advanced Hepatocellular Carcinoma Treated with Sorafenib", Zagazig University Medical Journal, 2022 More
  • Rasha Mohamed Mostafa Hagag, "Diagnosis of Sepsis among Adult Patients with AML Using Scd14", Ain Shams University, Faculty of Medicine, Pan Arab League of Continuous Medical Education, 2021 More
  • Rasha Mohamed Mostafa Hagag, "Prognostic Impact of microRNAs (miR-155, miR-10a, let-7a) on the Outcome of Adult Patients with Acute Myeloid Leukemia.", Zagazig University, Faculty of Medicine, 2021 More
  • Shereen Mostafa Saleh Elshorbagy, "Prognostic Roles of ZNF703 and SMAD4 Expression in Patients with Papillary Thyroid Cancer and Association with Nodal Metastasis", pubmed, 2022 More
  • Shereen Mostafa Saleh Elshorbagy, "RNA-binding proteins RBM-HuR, RBM3 and PODXL expression in urothelial carcinoma of the urinary bladder. Prognostic and clinical implications", PMID: 35079236, 2022 More
Tweet